Little Elm Frisco Children'S Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

F7772 Issued in TX

Legal business name

LITTLE ELM FRISCO CHILDREN'S CLINIC

Practice address

12398 FM 423
Suite 600
Frisco, TX 75033-0158

Phone

(214) 494-4622

Fax

(214) 494-4609

NPI assigned

Feb 17, 2011

Organization subpart

Yes

Parent organization

LITTLE ELM-FRISCO CHILDREN'S CLINIC PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Prem P Gupta, MDNPI 1386677250

Title

Partner

Phone

(214) 494-4622

Specialties & licenses 2

Addresses

Other identifiers 5

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Little Elm Frisco Children'S Clinic

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prem P Gupta, M.D.

  • Pediatrics Physician
  • Frisco, TX
  • NPI 1386677250
  NPD (past) Authorized official
• Deepa Ganeshan, MD

  • Pediatrics Physician
  • Frisco, TX
  • NPI 1316101272
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1083911622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12398 FM 423",
            "address_2": "SUITE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330158",
            "telephone_number": "214-494-4622",
            "fax_number": "214-494-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12398 FM 423",
            "address_2": "SUITE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330158",
            "telephone_number": "214-494-4622",
            "fax_number": "214-494-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ELM FRISCO CHILDREN'S CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITTLE ELM-FRISCO CHILDREN'S CLINIC PLLC",
        "enumeration_date": "2011-02-17",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "214-494-4622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F7772",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F8878",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24778",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126877306",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220282201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133070608",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220282202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linq Therapy, LLC
• Breasia Linton-Jamerson
• Leann Carol Lipman, MSCC-A
• Aimee Lish
• Shelby Liske, D.C.
• Irene D. Little, LMFT-S,LCDC, CCC-SLP
• Racheal Littlefield
• Mark C Littlejohn, MD
• Hyon-Me Liu, LPC ASSOCIATES
• Jane Xiaoyu Liu, LIC.AC.

• Pediatrics Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.